Illinois Medicaid rate for CPT 99213
Illinois Medicaid pays $44.67 for CPT 99213 in its July 2026 fee-for-service schedule: the 6th-lowest of 45 state Medicaid programs, at 63% of the $71.05 median.
- Non-facility rate
- $44.67
- Rank
- 40 of 45
- vs. state median
- 63%
- vs. IL Medicare
- 45-48%
What Illinois Medicaid publishes for 99213
6th-lowest of 45 · 63% of median
- Schedule
- July 2026
- In effect since
- Apr 1, 2024
- Prior authorization
- Not published
1 rate type
- Prenatal Subsequent (U5)
- $104.96
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. HFS Practitioner Fee Schedule
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in Illinois is $92.64 to $99.63 across its 4 payment localities; Illinois Medicaid's rate is 45-48% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 99213.
Book a 15-min Medicaid walkthrough